go back

Antigen Test For A Specific Infection

Illinois rates for HCPCS 87380

A laboratory test that detects an infectious organism directly in a sample, using antibodies that latch onto part of the organism itself. Because it looks for the organism rather than the body's response to it, a positive result points to infection at the time the sample was taken.

Rates data updated July 2026.

How much does Antigen Test For A Specific Infection cost?

$23.44

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $23.44 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $30.20 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$15.85$14.79 to $31.62
FacilityA hospital or hospital-owned outpatient department$30.20$18.62 to $38.02

How much rates vary

Facilitymedian $30 · 10th to 90th $16 to $76Professionalmedian $16 · 10th to 90th $13 to $47
$5.0$10.0$20.0$50.0$100.0$200.0facility $30professional $16

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$28.84
Typical High
$50.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$15.85
Typical High
$38.02
BCBS
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$43.65
Typical High
$177.83
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$12.59
Typical High
$14.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$40.74
Typical High
$85.11
Cigna
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$21.38
Typical High
$33.88
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$33.88
Typical High
$186.21
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Molina
Setting
Professional
Modifier
Global
Typical Low
$10.00
Median
$10.00
Typical High
$10.00
United
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$18.20
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$12.59
Typical High
$18.20

Where Illinois sits

The same service costs 2.5 times more in South Dakota than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $23.44 · 8th of 51
SD $33.88MD $13.80

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.